Active NPI
Amber Denise Keck
- Hearing Instrument Specialist
- Indianapolis, IN
National Provider Identifier
1245813989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001554A
- Practice address
- 8308 Lake Tree LN
Indianapolis, IN 46217-4719 - Phone
- (317) 961-1200
- NPI assigned
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001554A | IN | Primary |
Addresses
Primary practice location
8308 Lake Tree LN
Indianapolis, IN 46217-4719
Mailing address
8308 Lake Tree LN
Indianapolis, IN 46217-4719
Phone (317) 921-1200
Other practice location 1
720 3rd St
Columbus, IN 47201-6813
Phone (812) 378-2008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001554A | IN | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discounted Mobile Hearing AIDS | Current | Accepting new patients | |
| WWJD Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| Help U Hear, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing Aid Equipment
- Indianapolis, IN
- NPI 1306507371
-
- Hearing Instrument Specialist
- Indianapolis, IN
- NPI 1205977584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1245813989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8308 LAKE TREE LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462174719",
"telephone_number": "317-921-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8308 LAKE TREE LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462174719",
"telephone_number": "317-961-1200"
}
],
"practiceLocations": [
{
"address_1": "720 3rd St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "IN",
"postal_code": "472016813",
"country_code": "US",
"telephone_number": "812-378-2008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KECK",
"first_name": "AMBER",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001554A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.